Quotation Estimate Physiotherapist in Egypt Cairo –Free Word Template Download with AI
127 El Tahrir Street, Downtown District, Egypt Cairo
Tel: +20 2 2578 4433 | Email: [email protected]
License No. PT-2024-0891 | Ministry of Health, Egypt
Quotation EstimateQuotation Details
Quotation No.: QTE-2025-0417
Date of Issue: 15 June 2025
Valid Until: 15 July 2025
Prepared By: Dr. Ahmed Hassan, Lead Physiotherapist
Service Location: Egypt Cairo, Downtown District
Client Information
Client Name: Mr. Mohamed El-Sayed
Address: 45 Maadi Road, Maadi, Egypt Cairo
Phone: +20 100 555 7821
Email: [email protected]
Referral Source: Dr. Nour El-Din, Orthopedic Specialist
Dear Mr. El-Sayed,
Thank you for contacting the Cairo Physiotherapy & Rehabilitation Center regarding your post-operative rehabilitation needs. Following your initial consultation with our senior Physiotherapist on 10 June 2025, we are pleased to present this formal Quotation Estimate outlining the comprehensive physiotherapy program tailored specifically for your recovery. This Quotation Estimate has been prepared in accordance with the standards set by the Egyptian Ministry of Health and reflects the current market rates for specialized Physiotherapist services in Egypt Cairo.
Scope of Services – Physiotherapist ProgramThe following Quotation Estimate covers a structured twelve-week rehabilitation program delivered by a certified Physiotherapist at our facility in Egypt Cairo. The program is designed to restore full range of motion, rebuild muscular strength, and ensure a safe return to daily activities following your total knee replacement surgery.
| # | Service Description | Duration / Frequency | Unit Price (EGP) | Total (EGP) |
|---|---|---|---|---|
| 1 | Initial Comprehensive Assessment by Lead Physiotherapist (gait analysis, ROM measurement, pain evaluation, functional testing) | 1 session / 90 min | 1,500 | 1,500 |
| 2 | Manual Therapy & Joint Mobilization Sessions (performed by licensed Physiotherapist) | 3x/week x 12 weeks (36 sessions) | 800 | 28,800 |
| 3 | Therapeutic Exercise & Strengthening Program (supervised by Physiotherapist) | 3x/week x 12 weeks (36 sessions) | 700 | 25,200 |
| 4 | Electrotherapy & Modalities (TENS, Ultrasound, Laser Therapy, Cryotherapy) | 2x/week x 12 weeks (24 sessions) | 500 | 12,000 |
| 5 | Hydrotherapy / Aquatic Physiotherapy Sessions (pool facility in Egypt Cairo) | 1x/week x 8 weeks (8 sessions) | 1,200 | 9,600 |
| 6 | Home Exercise Program Design & Weekly Progress Review by Physiotherapist | 12 weekly reviews | 400 | 4,800 |
| 7 | Functional Mobility Training & Gait Re-education (stair negotiation, balance drills) | 2x/week x 6 weeks (12 sessions) | 650 | 7,800 |
| 8 | Final Functional Assessment & Discharge Report (prepared by Lead Physiotherapist) | 1 session / 60 min | 1,000 | 1,000 |
| 9 | Custom Orthotic / Bracing Consultation & Fitting (if clinically indicated) | 1 session | 2,000 | 2,000 |
| Subtotal | 92,700 EGP | |||
| VAT (14%) | 12,978 EGP | |||
| Grand Total | 105,678 EGP | |||
- This Quotation Estimate is valid for thirty (30) calendar days from the date of issue. After the expiry date, pricing may be subject to revision based on current operational costs in Egypt Cairo.
- All services described in this Quotation Estimate shall be delivered exclusively by a registered and licensed Physiotherapist holding a valid practice certificate from the Egyptian Medical Syndicate.
- Payment is due in three equal installments: 30% upon acceptance of this Quotation Estimate, 40% at the midpoint of the program (week six), and 30% upon completion of the final session.
- Accepted payment methods include bank transfer to our account at CIB Bank, Egypt Cairo branch, cash payment at the facility, or major credit/debit cards. A 2% surcharge applies to card transactions.
- Rescheduling of any Physiotherapist session must be communicated at least twenty-four (24) hours in advance. Cancellations made within 24 hours will be charged at 50% of the session fee.
- This Quotation Estimate does not include the cost of any surgical implants, imaging (X-ray, MRI, CT), or pharmaceutical medications. These costs, if applicable, will be itemized separately.
- The Physiotherapist reserves the right to modify the treatment plan based on the patient's clinical progress. Any additional sessions beyond the twelve-week program will be billed at the standard per-session rates listed above.
- All patient data and clinical records are handled in strict compliance with Egyptian data protection regulations and the ethical code of the Egyptian Physiotherapy Association.
- This Quotation Estimate is non-transferable and is issued solely for the named client. Any change in patient identity requires a new assessment and a revised Quotation Estimate.
- In the event of force majeure (natural disaster, government-mandated closure, or public health emergency affecting operations in Egypt Cairo), the program timeline will be extended proportionally at no additional cost to the client.
By signing below, the client acknowledges receipt of this Quotation Estimate and agrees to the terms and conditions outlined above. The client confirms that the proposed Physiotherapist program in Egypt Cairo has been explained in full and that all questions have been satisfactorily addressed.
Client SignatureName: Mr. Mohamed El-Sayed
Date: _______________ Authorized Representative – Cairo Physiotherapy & Rehabilitation Center
Name: Dr. Ahmed Hassan, Lead Physiotherapist
Date: _______________ ⬇️ Download as DOCX Edit online as DOCX
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